普遍的な健康保険への進歩は,人口の健康を改善するのでしょうか?
Rodrigo Moreno-Serra1, Peter C Smith
1Business School and Centre for Health Policy, Imperial College London, London, UK.
Lancet (London, England)
|September 11, 2012
まとめ
普遍的な健康保険の拡大は,人口の健康と,特に恵まれない集団の医療へのアクセスを改善します. 治理などの要因を考慮して,有効性を最大化するためにさらなる研究が必要である.
科学分野:
- 健康政策と経済学について
- グローバル・ヘルス グローバル・ヘルス
- 公衆衛生は公衆衛生である.
背景:
- 普遍的な健康保険 (UHC) は,人口の健康を改善するために広く促進されています.
- UHCに向けた進歩には,リスク共有と前払いメカニズムの拡大が含まれます.
- 医療保険の拡大と健康上の成果を結びつける経験的証拠は,しっかりと検討する必要があります.
研究 の 目的:
- 医療保険の拡大と人口の健康状態との関係に関する国間間経験的証拠の見直しを行う.
- UHCの進歩の指標として,拡張されたリスクプーリングと前払いによる健康への影響に焦点を当てること.
- 現在のエビデンス・ベースの限界を特定し,将来の研究分野を提案する.
主な方法:
- 各国間の経験的証拠の体系的なレビュー.
- 医療保険の範囲,医療へのアクセス,住民の健康状態に関するデータの分析.
- UHCの指標としてリスクプーリングと前払いを検討する研究に焦点を当てます.
主要な成果:
- より広範な健康保険は,一般に,必要な医療へのアクセスを改善することと関連しています.
- 医療保険の拡大は,特に貧困層の住民の健康状態に好影響を与える.
- 証拠は,拡張されたリスクプーリング/前払いとより良い健康結果の間のリンクを示唆しています.
結論:
- 幅広いリスク共有と前払いによって示される普遍的な健康保険への進歩は,一般的に人口の健康とケアへのアクセスを改善します.
- ポジティブな効果は,貧困層の間で特に顕著です.
- データと方法の限界は,制度の質とガバナンスの役割を含む,拡張された健康保険の有効性を最適化するためにさらなる研究を必要とします.
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